Registered Nurse (RN) – Full Time – Day Shift – Lawton Veterans Home

State of Oklahoma•Lawton, OK

10d•$36 - $40

About The Position

The RN House Supervisor provides shift-level clinical and operational leadership for the State Veterans Home. The position serves as the responsible RN during the assigned shift, delivers direct and indirect professional nursing care, supervises and supports nursing personnel, coordinates staffing and resident care needs, and acts for nursing leadership within assigned authority. The role requires independent judgment, timely clinical assessment and intervention, clear communication, and consistent follow-through to support safe, compliant, resident-centered care. The House Supervisor leads shift operations, conducts supervisory rounds, oversees staff and coverage, assesses significant changes in resident condition, and ensures timely clinical interventions, documentation, notifications, and follow-up. The supervisor manages incidents and staffing concerns, supports medication and treatment completion, and provides direct nursing care when needed. The role also includes shift handoffs, operational reporting and processes, compliance with agency policies and regulations, and collaboration with providers and interdisciplinary team members. The supervisor may participate in quality oversight through observation, record review, and identification of care or documentation concerns.

Requirements

Current, unrestricted Oklahoma Registered Nurse license or a Registered Nurse license recognized by the Enhanced Nurse Licensure Compact (eNLC).
At least two years of professional nursing experience in a field appropriate to a long-term care or health care setting.
Ability to independently assess resident condition, prioritize care, supervise staff, manage competing shift demands, and communicate effectively with providers, residents and families, and leadership.
Sufficient English-language proficiency to perform the essential functions of the position.

Nice To Haves

Long-term care, skilled nursing, charge nurse, or supervisory experience preferred.

Responsibilities

Assume responsibility for the home at the start of the assigned shift; receive and provide effective handoffs; maintain awareness of resident, staffing, safety, and operational concerns; and escalate significant concerns appropriately.
Conduct and document supervisory rounds throughout the home at least every two hours, or more frequently as needs require; verify staff presence and assignment coverage, identify barriers to care, and address concerns.
Complete or ensure timely RN assessment of significant changes in condition, falls, injuries, acute events, admissions, readmissions, and other events requiring RN evaluation; initiate interventions and arrange applicable notifications.
Ensure required nursing documentation and follow-up are complete, accurate, and timely, including assessments, progress notes, MARS/TARS, FSBS, antibiotic monitoring, fall/neuro documentation, 7-day documentation, tube/foley monitoring, and other assigned records.
Recognize significant or reportable events, initiate safety and clinical interventions, complete required event documentation/RMFs, ensure notifications and follow-up, and communicate unresolved or high-risk concerns to nursing leadership.
Maintain attendance and staffing records, identify call-ins, vacancies, and coverage concerns, complete staffing grids, follow established staffing procedures, and promptly communicate unresolved staffing issues.
Ensure completion of medications, treatments, wound care, and required clinical tasks; provide direct nursing coverage, including medication cart coverage and treatments, when needed and within scope of practice.
Communicate clinically relevant information to nursing staff, providers, leadership, and the oncoming supervisor, including significant resident, staffing, safety, and operational concerns before leaving the shift.
Prioritize resident safety, clinical needs, staffing, documentation, and administrative duties, and complete required work within the assigned shift.
Provide professional leadership, direction, and appropriate delegation; support teamwork and address performance or conduct concerns within assigned authority.
Follow ODVA/SVH policies, nursing standards, infection prevention practices, emergency procedures, and applicable regulatory requirements; correct unsafe or noncompliant practices when observed and escalate concerns appropriately.
Complete assigned shift processes such as census or attendance reporting, supply/O2 counts, transport or dietary communication, EMAR backup processes, and other home-specific operational duties.
Supervise and direct licensed and unlicensed nursing personnel during the assigned shift and delegate tasks consistent with staff competency, education, scope of practice, and the Oklahoma Nursing Practice Act.
Collaborate with providers and interdisciplinary team members in resident care and act for nurse managers in their absence within assigned authority.
Participate in quality oversight through observation, record review, follow-up of clinical concerns, and identification of care or documentation variances requiring correction or escalation.
Perform other related duties as assigned consistent with the position and agency operations.